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DIVINE BESONG ARREY AGBOR MD
NPI 1821719550
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since September 09, 2022PECOS Enrolled
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2025, Sep 9, 2022 (2 updates tracked since 2022).

About Divine Besong Arrey Agbor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE BESONG ARREY AGBOR MD (NPI 1821719550) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sayre.

NPPES Registry Identity

NPI1821719550
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDIVINE BESONG ARREY AGBORCredential: MD
Location Address355 BARD AVE DEPT OFStaten Island, NY 10310-1699
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 887-3778
Phone(718) 818-2419
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1821719550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

355 BARD AVE DEPT OF, Staten Island, NY 10310
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Secondary Practice Location 1

Location 11 Guthrie SqSayre, PA 18840-1625 · Phone (570) 887-3778

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divine Besong Arrey Agbor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ABU KAR
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
YOLANDE ENGOME MBOME MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DR. JENNIFER STONE MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
HARSHASREE SEELAM MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DR. ARNOLD EWANE ONANA MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
CRYSTAL DELP MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
MIRIAM BEKHIT MD
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ELAHEH MOSSAYEBI M.D.
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF, 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419

Frequently Asked Questions

What is Divine Besong Arrey Agbor's NPI number?

The NPI number assigned to this healthcare provider is 1821719550, enumerated as an "individual" on September 09, 2022.

Where is the provider located?

The provider is located at 355 BARD AVE DEPT OF STATEN ISLAND, NY 10310 and the phone number is (718) 818-2419.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.